How much rates vary
Facilitymedian $490 · 10th to 90th $170 to $813Professionalmedian $617 · 10th to 90th $347 to $977
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $691.83 | Facility | None | $630.96 | $630.96 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $346.74 | $389.05 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $89.13 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $457.09 | Professional | TC · Technical part | $257.04 | $309.03 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $562.34 Typical High $562.34 | Facility | None | $275.42 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $363.08 Typical High $1,047.13 | Professional | None (both parts) | $346.74 | $363.08 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $91.20 Typical High $269.15 | Professional | 26 · Professional part | $87.10 | $91.20 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $275.42 Typical High $812.83 | Professional | TC · Technical part | $257.04 | $275.42 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $912.01 | Professional | None | $645.65 | $741.31 | $912.01 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $199.53 Typical High $234.42 | Professional | 26 · Professional part | $165.96 | $199.53 | $234.42 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $537.03 Typical High $691.83 | Professional | TC · Technical part | $467.74 | $537.03 | $691.83 |
Moda Health Setting Facility Modifier None Typical Low $489.78 Median $1,047.13 Typical High $2,041.74 | Facility | None | $489.78 | $1,047.13 | $2,041.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $478.63 Typical High $870.96 | Professional | None (both parts) | $346.74 | $478.63 | $870.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $275.42 | Professional | 26 · Professional part | $85.11 | $114.82 | $275.42 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $389.05 Typical High $660.69 | Professional | TC · Technical part | $275.42 | $389.05 | $660.69 |
Pacific Source Setting Facility Modifier None Typical Low $154.88 Median $467.74 Typical High $676.08 | Facility | None | $154.88 | $467.74 | $676.08 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $489.78 | Professional | None (both parts) | $186.21 | $186.21 | $489.78 |
Providence Setting Facility Modifier None Typical Low $371.54 Median $891.25 Typical High $1,230.27 | Facility | None | $371.54 | $891.25 | $1,230.27 |
Providence Setting Professional Modifier None (both parts) Typical Low $346.74 Median $707.95 Typical High $1,000.00 | Professional | None (both parts) | $346.74 | $707.95 | $1,000.00 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $173.78 Typical High $263.03 | Professional | 26 · Professional part | $87.10 | $173.78 | $263.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $524.81 Typical High $794.33 | Professional | TC · Technical part | $257.04 | $524.81 | $794.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $851.14 | Facility | None | $524.81 | $741.31 | $851.14 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $616.60 Median $645.65 Typical High $912.01 | Professional | None (both parts) | $616.60 | $645.65 | $912.01 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $173.78 Typical High $245.47 | Professional | 26 · Professional part | $162.18 | $173.78 | $245.47 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $478.63 Typical High $676.08 | Professional | TC · Technical part | $457.09 | $478.63 | $676.08 |
United Setting Facility Modifier None Typical Low $562.34 Median $691.83 Typical High $870.96 | Facility | None | $562.34 | $691.83 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $630.96 Typical High $1,071.52 | Professional | None (both parts) | $309.03 | $630.96 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $162.18 Typical High $288.40 | Professional | 26 · Professional part | $81.28 | $162.18 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $489.78 Typical High $794.33 | Professional | TC · Technical part | $223.87 | $489.78 | $794.33 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $138.04 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $54.95 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $128.82 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $52.48 | $74.13 | $74.13 |
Where Oregon sits
The same service costs 6.2 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oregon· 8th of 51
$575
AK $1,047UT $170
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.